Preoperative Evaluation and Management of Patients With Select Chronic Gastrointestinal, Liver, and Renal Diseases

Dennis M. Bierle, Elizabeth C. Wight, Ravindra Ganesh, Carina P. Himes, Karna K. Sundsted, Adam K. Jacob, Arya B. Mohabbat

Research output: Contribution to journalReview articlepeer-review

Abstract

Patients with chronic gastrointestinal, hepatic, and renal disease are frequently encountered in clinical practice. This is due in part to the rising prevalence of risk factors associated with these conditions. These patients are increasingly being considered for surgical intervention and are at higher risk for multiple perioperative complications. Many are able to safely undergo surgery but require unique considerations to ensure optimal perioperative care. In this review, we highlight relevant perioperative physiology and outline our approach to the evaluation and management of patients with select chronic gastrointestinal, hepatic, and renal diseases. A comprehensive preoperative evaluation with a multidisciplinary approach is often beneficial, and specialist involvement should be considered. Intraoperative and postoperative plans should be individualized based on the unique medical and surgical characteristics of each patient.

Original languageEnglish (US)
Pages (from-to)1380-1395
Number of pages16
JournalMayo Clinic proceedings
Volume97
Issue number7
DOIs
StatePublished - Jul 2022

ASJC Scopus subject areas

  • General Medicine

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